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Columbia Developmental Center

Organization Active NPI Community/Behavioral Health Agency · Columbia, LA

NPI 1396964409 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1396964409
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
PCA7737 (LA)
Legal business name
COLUMBIA DEVELOPMENTAL CENTER
Practice address
132 Highway 850
Columbia, LA 71418-1559
Phone
(318) 649-6097
Fax
(318) 649-2868
NPI assigned
Apr 25, 2007
Organization subpart
No

Authorized official

Name
Mr. Michael Anthony Harrell
Title
Regional Associate Administrator
Phone
(318) 649-6097

Corporate family (same tax ID) 9

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Columbia Developmental Center (10 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PCA7737 LA Yes

Addresses

Primary practice location

132 Highway 850
Columbia, LA 71418-1559

Mailing address

132 Highway 850
Columbia, LA 71418-1559
Phone (318) 649-6097

Other identifiers

IdentifierTypeStateIssuer
1159638MedicaidLA

Other names

  • Personal Care Attendant Provider Doing business as

Other providers in Columbia, LA

All providers in Columbia, LA · Community/Behavioral Health Agency in Louisiana

Sources for this page

Verify at the official NPI Registry.